Individual
MS. RIVER MARY MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
11 DISCOVERY WAY, EASTSOUND, WA 98245-2212
(360) 376-4548
Mailing address
11 DISCOVERY WAY, EASTSOUND, WA 98245-2212
(360) 376-4548
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF0001312
WA
106H00000X
Marriage & Family Therapist
MFC 25020
CA
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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